Flight Deck Doctor
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Medical Conditions

Important Notice

This page provides general guidance only. Aviation medical decisions are made on a case-by-case basis by Transport Canada and a CAME.

How Medical Conditions Are Assessed

Transport Canada does not automatically disqualify applicants based on a diagnosis. Instead, decisions are based on risk of incapacitation, stability of the condition, and supporting medical evidence.

Browse Conditions

Cardiovascular Conditions

Conditions related to the heart and blood vessels.

High Blood Pressure (Hypertension)

Overview

High blood pressure is a common condition where the force of blood against the artery walls is elevated.

Can You Fly?

Pilots may be certified if blood pressure is stable and well-controlled.

What Transport Canada Looks At

  • Blood pressure readings over time
  • Medication use and side effects
  • Risk of cardiovascular complications

Possible Requirements

  • Regular blood pressure monitoring
  • Physician reports
  • Possible ECG testing

Pilot Tips

Lifestyle changes such as diet, exercise, and stress management can improve outcomes and simplify medical approval.

Metabolic Conditions

Conditions affecting metabolism and blood chemistry.

Diabetes

Overview

Diabetes is a condition affecting blood sugar regulation, ranging from mild to insulin-dependent forms.

Can You Fly?

Pilots may be certified if the condition is stable and well-controlled.

What Transport Canada Looks At

  • Stability of blood sugar levels
  • Risk of hypoglycemia
  • Presence of complications
  • Consistency of monitoring

Possible Requirements

  • Blood test results (e.g. A1c)
  • Glucose monitoring records
  • Specialist reports
  • Regular follow-ups

Pilot Reality

Expect additional documentation and ongoing monitoring. Approval is often possible with consistent management.

Mental Health Conditions

Conditions affecting mood, behavior, and cognitive function.

Attention Deficit Hyperactivity Disorder (ADHD)

Overview

ADHD affects attention, focus, and impulse control. It may be managed with lifestyle strategies or medication.

Can You Fly?

Active ADHD or current use of ADHD medication is generally disqualifying. Eligibility may exist if off medication and symptom-free for 6+ months.

What Transport Canada Looks At

  • Current diagnostic status and symptom history
  • Medication use (stimulants or non-stimulants)
  • Neuropsychological testing confirming stability
  • Risk of attention lapses impacting flight safety

Possible Requirements

  • Detailed medical and psychiatric history
  • Specialist or neuropsychological reports
  • Evidence of sustained symptom control without medication
  • Ongoing monitoring if cleared

Pilot Tips

Maintain thorough documentation and consult a CAME early. Early disclosure improves likelihood of certification.